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41例无牙患者使用骨膜下种植义齿40年的经验。

Forty years of experience with subperiosteal implant dentures in 41 edentulous patients.

作者信息

Bodine R L, Yanase R T, Bodine A

机构信息

U.S. Army Dental Corps, U.S. Army, San Antonio, Tex., USA.

出版信息

J Prosthet Dent. 1996 Jan;75(1):33-44. doi: 10.1016/s0022-3913(96)90414-x.

DOI:10.1016/s0022-3913(96)90414-x
PMID:8850449
Abstract

Forty-one complete mandibular subperiosteal implant-supported and retained dentures were consecutively inserted between 1952 and 1971, and patients were monitored through 1992. After variables and methods of follow-up were described, the implants were divided into three categories: 14 (34%) nonfunctional implants, 9 (22%) functioning implants, and 18 (44%) functional implants prematurely terminated by death or cause unrelated to implant condition. Five percent of the implants failed by 5 years, 22% failed by 10 years, 34% failed by 20 years, and none failed after 20 years. Nine implants were still functioning 21 to 36 years after insertion, of which five were functioning for more than 30 years. The implants that were developed later were notably superior to earlier implants. The results of this review could be interpreted to suggest consideration of mandibular subperiosteal implants for selected patients, particularly those with resorbed mandibles.

摘要

1952年至1971年间,连续植入了41副完全由下颌骨骨膜下种植体支持和固位的义齿,并对患者进行随访直至1992年。在描述了变量和随访方法后,将种植体分为三类:14颗(34%)无功能种植体、9颗(22%)有功能种植体以及18颗(44%)因死亡或与种植体状况无关的原因而提前终止功能的种植体。5%的种植体在5年内失败,22%在10年内失败,34%在20年内失败,20年后无一失败。9颗种植体在植入后21至36年仍在发挥功能,其中5颗功能持续超过30年。后期研发的种植体明显优于早期种植体。该综述结果表明,对于特定患者,尤其是下颌骨吸收的患者,可考虑使用下颌骨骨膜下种植体。

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